University Hospitals Schleswig-Holstein, Campus Kiel, Clinic for Obstetrics and Gynecology, Kiel, Germany.
University Hospitals Schleswig-Holstein, Campus Kiel, Institute for Experimental and Clinical Pharmacology, Kiel, Germany.
GMS J Med Educ. 2024 Apr 15;41(2):Doc21. doi: 10.3205/zma001676. eCollection 2024.
Training decisions are viewed as a problem by the majority of medical students.In the present study we compared sociodemographic and psychological characteristics of students who are interested in surgical training to those who preferred a non-surgical specialty. Furthermore, we examined whether students who wish to be trained as surgeons performed better than their non-surgical counterparts in a course designed to acquire skills in minimally invasive surgery.
From October 2020 to January 2021 we performed a cross-sectional survey among 116 medical students prior to their year of practical training at Christian-Albrechts University in Kiel. Based on their intended field of specialization, the students were divided into a non-surgical and a surgical group. Sociodemographic and psychological characteristics such as self-efficacy expectations, resilience and stress perception were evaluated and compared between groups. Simultaneously, we compared their surgical performance in two laparoscopic exercises and their self-assessment as surgeons. Statistical differences between the training groups were determined by the Mann-Whitney U test or Pearson's Chi square test.
Ninety-two students participated in the study, of whom 64.1% intended to train in a non-surgical specialty and 35.9% in a surgical specialty. Students who wished to be trained as surgeons had higher general self-efficacy expectations (p<0.001) and greater resilience (p=0.009). However, on comparison they had a lower stress level (p=0.047). The inter-group comparison of training results and self-assessment as surgeons revealed no unequivocal differences in surgical performance.
Interest in surgical specialties is correlated, among other factors, with the strength of psychological skills such as general self-efficacy expectations, resilience and stress perception. Early attention to these psychological resources in academic training might assist medical students in future career choices.
大多数医学生认为培训决策是一个问题。本研究比较了对手术培训感兴趣的学生和对非手术专业感兴趣的学生的社会人口学和心理特征。此外，我们还研究了希望成为外科医生的学生在微创外科技能培训课程中的表现是否优于非外科学生。
2020 年 10 月至 2021 年 1 月，我们在基尔的克里斯蒂安-阿尔布雷希特大学进行了一项横断面调查，共有 116 名医学生参加，他们即将开始实践培训。根据他们的专业意向，学生被分为非手术组和手术组。评估并比较了社会人口学和心理特征，如自我效能期望、韧性和压力感知，并比较了两组学生在两项腹腔镜练习中的手术表现和自我评估。采用 Mann-Whitney U 检验或 Pearson's Chi square 检验确定训练组之间的统计学差异。
92 名学生参加了研究，其中 64.1%的学生打算在非手术专业接受培训，35.9%的学生打算在手术专业接受培训。希望接受外科培训的学生的一般自我效能期望较高（p<0.001），韧性较强（p=0.009）。然而，他们的压力水平较低（p=0.047）。手术表现和自我评估作为外科医生的两组间比较显示，手术表现没有明显差异。
除其他因素外，对手术专业的兴趣与一般自我效能期望、韧性和压力感知等心理技能的强弱有关。在学术培训中及早关注这些心理资源可能有助于医学生做出未来的职业选择。
